[CQM-6993] Controlling High Blood Pressure Created: 05/24/24  Updated: 06/06/24  Resolved: 06/06/24

Status: Closed
Project: eCQM Issue Tracker
Component/s: None

Type: Other Priority: Moderate
Reporter: Katie Zabonik (Inactive) Assignee: Mathematica EC eCQM Team (Inactive)
Resolution: Answered Votes: 0
Labels: None

Contact Name: Katie Zabonik
Contact Email: katie.zabonik@gialliance.com
Solution: Thank you for your inquiry regarding CMS165v12. Per the ‘Telehealth Guidance for eCQMs for Eligible Clinician 2024 Quality Reporting’ (https://ecqi.healthit.gov/sites/default/files/2024-EC-Telehealth-Guidancev2.pdf ), located on the eCQI Resource Center, CMS165v12 is eligible for telehealth encounters.

Additionally, as quoted below in the measure’s Guidance section, as long as the blood pressure readings are documented in the patient's medical record, as approved by the clinician, then those are acceptable for numerator evaluation.

"In reference to the numerator element, only blood pressure readings performed by a clinician or an automated blood pressure monitor or device are acceptable for numerator compliance with this measure. This includes blood pressures taken in person by a clinician and blood pressures measured remotely by electronic monitoring devices capable of transmitting the blood pressure data to the clinician. Blood pressure readings taken by an automated blood pressure monitor or device and conveyed by the patient to the clinician are also acceptable. It is the clinician’s responsibility and discretion to confirm the automated blood pressure monitor or device used to obtain the blood pressure is considered acceptable and reliable and whether the blood pressure reading is considered accurate before documenting it in the patient’s medical record."
Solution Posted On:
2026 Reporting Period Hosp Inpt eCQMs:
Not measure related
2025 Reporting Period Hosp Inpt eCQMs:
Not measure related
2025 Performance Period EC eCQMs:
Not measure related
2025 Reporting Period Hosp Outpt eCQMs:
Not measure related
2024 Reporting Period Hosp Inpt eCQMs:
Not measure related
2024 Performance Period EC eCQMs:
CMS0165v12
2024 Reporting Period Hosp Outpt eCQMs:
Not measure related
2023 Reporting Period Hosp Inpt eCQMs:
Not measure related
2023 Performance Period EC eCQMs:
Not measure related
2023 Reporting Period Hosp Outpt eCQMs:
Not measure related
Impact: For the high blood pressure measure, are there any exclusions for telehealth?

 Description   

We have a provider that is strictly telehealth so we need to know how to report the blood pressures from those visits. 



 Comments   
Comment by Mathematica EC eCQM Team (Inactive) [ 06/04/24 ]

We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience.

Comment by Mathematica EC eCQM Team (Inactive) [ 05/28/24 ]

Thank you for submitting your question. We will review your ticket and provide a response as soon as possible.

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